2020-08-17T10:55:26-05:00 2019-09-30 593070669 MSL PA 500 E BROWARD BLVD SUITE 1550 FORT LAUDERDALE FL 33394 990 2018-10-01 591744006 THE HOSPICE OF THE FLORIDA SUNCOAST INC HOSP 7275864432 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 MITCHEL MOREL CFO 7275864432 2020-08-13 VICKI L HINZ CPA P00356696 9548478910 68.95.178.125 2020-08-13 09:51:30 ED P 7FC0E18F63597829422D687723989F114BEB8769 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-09-23 17:36:50Z SUNCOAST HOSPICE RAFAEL SCIULLO 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 113355710 0 X WWW.SUNCOASTHOSPICE.ORG X 1977 FL SEE SCHEDULE O.SUNCOAST HOSPICE'S MISSION IS TO BE THE CENTER TO IMPROVE LIFE FOR THOSE TOUCHED BY ADVANCED ILLNESS, DEATH, DYING, GRIEF, BEREAVEMENT AND OTHER END-OF-LIFE ISSUES. 16 15 923 1042 216225 0 3252372 2340778 100924998 108105807 614257 550386 114088 117525 104905715 111114496 0 0 0 0 50846559 50967079 0 0 0 49818516 55237085 100665075 106204164 4240640 4910332 47487450 50928711 15911447 15438795 31576003 35489916 X SEE SCHEDULE O.SUNCOAST HOSPICE'S MISSION IS TO BE THE CENTER TO IMPROVE LIFE FOR THOSE TOUCHED BY ADVANCED ILLNESS, DEATH, DYING, GRIEF, BEREAVEMENT AND OTHER END-OF-LIFE ISSUES. SUNCOAST HOSPICE IS GUIDED BY ITS COMMITMENT TO PROVIDE CARE AND COMFORT TO INDIVIDUALS AS THEY NEAR THE END OF LIFE, LESSENING THEIR PAIN AND SUFFERING, THUS ENABLING THEM TO LIVE IN AS MUCH COMFORT AND DIGNITY AS POSSIBLE. GUIDANCE AND SUPPORT ARE PROVIDED TO CAREGIVERS/FAMILIES AS WELL AS GRIEF, SPIRITUAL, AND BEREAVEMENT COUNSELING. 0 0 73299970 95214400 SEE SCHEDULE O.HOSPICE SERVICES - FOUNDED BY VOLUNTEERS IN 1978, SUNCOAST HOSPICE'S MISSION OF CARE FOCUSES ON PERSONS WITH ADVANCED ILLNESSES AND EXTENDS TO THOSE ACTING AS CAREGIVERS OR WORKING THROUGH GRIEF. SUNCOAST HOSPICE IS RECOGNIZED NATIONWIDE FOR ITS INNOVATIVE SERVICE DELIVERY AND ADVOCACY FOR SOCIAL CHANGE. IN ADDITION TO PROVIDING CARE IN PRIVATE HOMES, SUNCOAST HOSPICE SERVES THOSE WHO RESIDE IN NURSING HOMES, ASSISTED LIVING FACILITIES (ALFS), HOSPITALS, SUNCOAST HOSPICE CARE CENTERS; OR ANYWHERE PATIENTS CALL HOME. OF THOSE WHO DIED IN PINELLAS COUNTY IN 2019, APPROXIMATELY 53% WERE SERVED BY SUNCOAST HOSPICE. SUNCOAST HOSPICE SERVES ALL PEOPLE WITHOUT REGARD TO DIAGNOSES, AGE, RELIGIOUS, ETHNIC, SEX OR FINANCIAL CIRCUMSTANCES. OVER $800,000 IN UNCOMPENSATED CARE WAS PROVIDED TO INDIVIDUALS AND FAMILIES IN 2019. 18206142 12539115 SEE SCHEDULE O.THE SUNCOAST HOSPICE CARE CENTERS, ALSO KNOWN AS INPATIENT CENTERS, ARE PLACES OF REFUGE FOR OUR PATIENTS WHEN THEY SUFFER SEVERE PAIN OR EXPERIENCE ACUTE SYMPTOMS THAT CANNOT BE RESOLVED OR MANAGED IN THEIR OWN HOMES. CARE WITH COMPASSION IS PROVIDED AT THESE THREE CENTERS. EACH SUNCOAST HOSPICE CARE CENTER IS STAFFED BY MEDICAL TEAMS AVAILABLE 24-HOURS A DAY, 7-DAYS A WEEK IN SETTINGS DESIGNED EXPRESSLY FOR THE COMFORT AND CONVENIENCE OF OUR PATIENTS AND THEIR FAMILIES. OUR PATIENTS STAY IN A CENTER UNTIL THEIR PAIN AND SYMPTOMS ARE CONTROLLED ENOUGH TO ALLOW THEM TO COMFORTABLY RETURN TO THEIR RESIDENCES - THEIR CHOSEN ACTIVITIES - THEIR LIVES. EACH CENTER HAS ITS OWN DISTINCT ENVIRONMENT AND SETTING, BUT SHARES A COMMON GOAL OF CREATING A SENSE OF COMFORT, PEACE, AND TRANQUILITY. 4939576 469817 SEE SCHEDULE O.OTHER PROGRAMS - OTHER IMPORTANT SUNCOAST HOSPICE SERVICES OFFERED ARE GRIEF OR BEREAVEMENT SUPPORT AND COUNSELING. WHILE STAGES OF GRIEF HAVE BEEN IDENTIFIED, NO TWO PEOPLE GRIEVE IN EXACTLY THE SAME WAY OR IN PRESCRIBED TIME FRAMES. SUNCOAST HOSPICE OFFERS GRIEF COUNSELING AND SUPPORT TO THOSE IT SERVES IN ITS HOSPICE PROGRAMS AS WELL AS TO THE ENTIRE COMMUNITY. A SPECIAL CAMP FOR CHILDREN IN GRIEF IS OFFERED EACH YEAR AS WELL AS OTHER PROGRAMS AND SESSIONS FOR YOUNGSTERS WHO ARE TRYING TO COME TO TERMS WITH THE DEATH OF SOMEONE WHO HAS BEEN CLOSE TO THEM. AS TESTAMENT TO ITS COMMITMENT TO THE PINELLAS COMMUNITY AND THE WELL-BEING OF ITS CITIZENS, SUNCOAST HOSPICE OFFERS EDUCATION AND TRAINING ON A WIDE VARIETY OF SUBJECTS AND TO VARIED AUDIENCES. 96445688 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 419 0 1 923 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MITCHEL MOREL 7275864432 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 RAFAEL J SCIULLO PRESIDENT AND CEO 1.00 44.00 X X 457448 0 17734 BENJAMIN HAYES CHAIR 1.00 2.00 X X 0 0 0 MARTHA LENDERMAN VICE CHAIR 1.00 0.00 X X 0 0 0 PATRICK BARMORE SECRETARY 1.00 1.00 X X 0 0 0 CHARLES WHETSTONE TREASURER 1.00 2.00 X X 0 0 0 DWYANNE BROWN DIRECTOR 1.00 0.00 X 0 0 0 DR DAVID G BUBY DIRECTOR 1.00 1.00 X 0 0 0 MARY JEAN ETTEN DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL GAINES DIRECTOR 1.00 1.00 X 0 0 0 KELLI HANLEY-CRABB DIRECTOR 1.00 2.00 X 0 0 0 RUBY J HOPE DIRECTOR 1.00 0.00 X 0 0 0 BARRY HOWE DIRECTOR 1.00 0.00 X 0 0 0 KATHRYN HYER PHD DIRECTOR 1.00 1.00 X 0 0 0 MYRIAM IRIZARRY DIRECTOR 1.00 0.00 X 0 0 0 DR JAMES H STEG DIRECTOR 1.00 0.00 X 0 0 0 JUDITH A WOODWORTH DIRECTOR 1.00 1.00 X 0 0 0 MITCHEL MOREL CHIEF FINANCIAL OFFICER 1.00 44.00 X 239168 0 32744 MARCI PRUITT VICE PRESIDENT 40.00 0.00 X 192822 0 40507 LAWRENCE KAY EDWARD CHIEF MEDICAL OFFICER 40.00 0.00 X 371869 0 35973 JASMIN MARIA JEREZ-MARTE PHYSICIAN 40.00 0.00 X 244531 0 37633 MARY CATHERINE WAECHTER PHYSICIAN 40.00 0.00 X 228098 0 23040 CATHERINE MARIE COVINGTON PHYSICIAN 40.00 0.00 X 216548 0 19451 JANET LESLIE HADER KEATING PHYSICIAN 40.00 0.00 X 210101 0 8348 DAVID RICHARD DOERINGER PHYSICIAN 40.00 0.00 X 203093 0 31103 2363678 0 246533 56 0 1 0 PINELLAS COUNTY EMERGENCY MEDICAL SERVIC PO BOX 31074 TAMPA FL 33631 AMBULANCE SERVICES 1392847 ADVANCED CARE CENTER 401 FAIRWOOD AVENUE CLEARWATER FL 33759 ROOM AND BOARD 729467 CONSULATE HEALTH CARE OF SAFETY HARBOR 1410 MARTIN LUTHER KING JR STREET SAFETY HARBOR FL 34695 ROOM AND BOARD 657443 LARGO INVESTMENTS & ASSOCIATES LLC 3500 OAK MANOR LANE LARGO FL 33774 ROOM AND BOARD 634747 WESTCHESTER GARDENS 3301 MCMULLEN BOOTH ROAD CLEARWATER FL 33761 ROOM AND BOARD 630286 63 2146953 193825 2340778 NET PATIENT SERVICE REVENUE 623000 108105807 108105807 108105807 549600 216225 333375 2242000 2240327 887 1673 -887 786 786 SUNCOAST PACE MEALS 900099 85440 85440 MISCELLANEOUS 900099 32085 32085 117525 111114496 108223332 216225 334161 X 1388265 1388265 38397094 36785438 1611656 963066 922055 41011 7363899 7005712 358187 2854755 2737903 116852 13863470 8948561 4914909 160220 160220 19148 19148 24847965 23595545 1252420 636679 499465 137214 1024093 787199 236894 3458366 2465847 992519 5244 5244 218838 218838 578492 578492 62024 62024 PATIENT MEDICATION 4594154 4594154 MEDICAL SUPPLIES 2139185 2136968 2217 MEDICAL AND SMALL EQUIP 1866356 1862876 3480 BAD DEBT EXPENSE 1175384 1175384 587467 496350 91117 106204164 96445688 9758476 0 7000 7000 21943657 20695079 6053705 8722373 676340 471855 19858246 18210687 1808682 1647559 26001 7773455 16972065 11611390 47487450 50928711 9476852 10373977 4159086 3633808 2275509 1431010 15911447 15438795 X 31491736 35395359 84267 94557 31576003 35489916 47487450 50928711 X 4910332 -22430 4096 -978085 X X 0 1 X 1 0 X 3527783 2547738 2491942 3252372 2340778 14160613 98389639 93884108 100810304 100924998 108105807 502114856 101917422 96431846 103302246 104177370 110446585 516275469 0 0 0 516275469 497038 174941 97533 345965 549600 1665077 497038 174941 97533 345965 549600 1665077 216225 216225 114596 134751 152140 114088 117525 633100 102529056 96741538 103551919 104637423 111329935 518789871 0.99520 0.99590 0.00320 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 114,596. 2015 AMOUNT: $ 134,751. 2016 AMOUNT: $ 152,140. 2017 AMOUNT: $ 114,088. 2018 AMOUNT: $ 117,525. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3509 3509 0 PART II-B, LINE 1: THE HOSPICE OF THE FLORIDA SUNCOAST PAID DUES TO AN ORGANIZATION WHICH USED A PORTION OF THOSE DUES FOR LOBBYING. 539826 523148 16678 19268456 17687539 1580917 49964 49964 1647559 CASH AND MONEY MARKET FUNDS 32127 F DOMESTIC EQUITIES 1404908 F MUTUAL FUNDS 2192550 F CERTIFICATES OF DEPOSIT 4131213 F ACCRUED INTEREST 12657 F 7773455 DUE TO/FROM AFFILIATES 5475939 DEPOSITS 75410 NOTE RECEIVABLE FROM RELATED PARTY 6060041 11611390 INTEREST RATE SWAP AGREEMENT 335959 NOTE PAYABLE TO RELATED PARTY 896931 LEASES PAYABLE 198120 1431010 X 112479627 -22430 4096 1383465 1365131 111114496 0 111114496 108565714 2361550 2361550 106204164 0 106204164 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES AND IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN ASSETS HELD BY FOUNDATION -26,000. DEBT FORGIVENESS FROM RELATED PARTY 448,465. BAD DEBT RESERVE 961,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 32,799. DEBT FORGIVENESS FROM RELATED PARTY 2,328,751. 0 0 0 0 0 0 0 0 0 RAFAEL J SCIULLO PRESIDENT AND CEO 457448 0 0 0 0 0 8250 0 9484 0 475182 0 0 0 MITCHEL MOREL CHIEF FINANCIAL OFFICER 239168 0 0 0 0 0 7560 0 25184 0 271912 0 0 0 MARCI PRUITT VICE PRESIDENT 192822 0 0 0 0 0 6131 0 34376 0 233329 0 0 0 LAWRENCE KAY EDWARD CHIEF MEDICAL OFFICER 371869 0 0 0 0 0 8250 0 27723 0 407842 0 0 0 JASMIN MARIA JEREZ-MARTE PHYSICIAN 244531 0 0 0 0 0 7570 0 30063 0 282164 0 0 0 MARY CATHERINE WAECHTER PHYSICIAN 228098 0 0 0 0 0 6980 0 16060 0 251138 0 0 0 CATHERINE MARIE COVINGTON PHYSICIAN 216548 0 0 0 0 0 6568 0 12883 0 235999 0 0 0 JANET LESLIE HADER KEATING PHYSICIAN 210101 0 0 0 0 0 6329 0 2019 0 218449 0 0 0 DAVID RICHARD DOERINGER PHYSICIAN 203093 0 0 0 0 0 6244 0 24859 0 234196 0 0 0 SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS DETERMINED BY EMPATH HEALTH, INC. (EHI), A RELATED ORGANIZATION. EHI USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION. A PINELLAS COUNTY HEALTH FACILITIES AUTHORITY 596000800 72316MEL9 2004-12-15 21375000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 5488299 9154302 110555 61201 6374537 2783950 2006 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN (F) THE PURPOSE OF THIS BOND IS TO FINANCE THE HOSPICE CARE FACILITIES AND REFUND THE 1/2004 BONDS. SCHEDULE K, PART II, COLUMN A THE BONDS REPORTED ON IRS FORM 990, SCHEDULE K WERE JOINTLY ISSUED BY THE HOSPICE OF THE FLORIDA SUNCOAST AND THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST. AMOUNTS REPORTED ON SCHEDULE K, PART II, COLUMN A REPRESENT THE PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. SCHEDULE K, PART III, COLUMN A THE BONDS REPORTED ON IRS FORM 990, SCHEDULE K WERE JOINTLY ISSUED BY THE HOSPICE OF THE FLORIDA SUNCOAST AND THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST. AMOUNTS REPORTED ON SCHEDULE K, PART III, COLUMN A REPRESENT THE COMBINED PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. SCHEDULE K, PART IV, LINE 2C THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12/15/2009 AND IT HAS BEEN DETERMINED THAT SUBSQUENT CALCULATIONS ARE NOT REQUIRED. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE SECRETARY, AND THE TREASURER. THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, MAY DESIGNATE FROM ITS MEMBERS UP TO TWO ADDITIONAL DIRECTORS TO SERVE AS MEMBERS OF THE EXECUTIVE COMMITTEE. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS, AND MAY EXERCISE, ALL OF THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY SHALL BE LIMITED BY A RESOLUTION ADOPTED BY A MAJORITY OF DIRECTORS IN OFFICE. FORM 990, PART VI, SECTION A, LINE 2 RAFAEL SCIULLO, MITCHEL MOREL, AND PATRICK BARMORE ARE ALL EITHER BOARD MEMBERS OF AND/OR OFFICERS OF HOSPICE SYSTEMS, INC., A RELATED, FOR-PROFIT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF THE HOSPICE OF FLORIDA SUNCOAST, INC. (SUNCOAST HOSPICE) SHALL BE EMPATH HEALTH, INC. (EHI), A RELATED TAX-EXEMPT ORGGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, EHI HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO ELECT, APPOINT, OR REMOVE ANY DIRECTOR OF SUNCOAST HOSPICE WITHOUT CAUSE AT ANY TIME. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. THE BOARD OF DIRECTORS OF SUNCOAST HOSPICE SHALL NOT HAVE THE AUTHORITY TO MAKE SIGNIFICANT DECISIONS WITHOUT THE APPROVAL OF THE EHI BOARD. SIGNIFICANT DECISIONS INCLUDE, BUT ARE NOT LIMITED TO: THE RIGHT TO AMEND, REPEAL OR ALTER THEIR GOVERNING DOCUMENTS; SELL, LEASE OR OTHERWISE DISPOSE OF SUBSTANITALLY ALL OF THE ORGANIZATION'S ASSETS; AND MERGE OR CONSOLIDATE THE ORGANIZATION WITH ANOTHER ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION RETAINS THE EXPERTISE OF AN INDEPENDENT TAX ADVISOR TO ASSIST IN THE PREPARATION AND REVIEW OF ITS IRS FORM 990. PRIOR TO FILING THE IRS FORM 990, MANAGEMENT AND THE INDEPENDENT TAX ADVISOR REVIEW THE TAX RETURN AND ALL REQUIRED DISCLOSURES. THE FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE, CONSISTING OF INDEPENDENT DIRECTORS OF THE ORGANIZATION. THE AUDIT COMMITTEE MAKES A RECCOMMENDATION TO THE BOARD OF DIRECTORS TO ACCEPT OR REJECT THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST PAID EMPLOYEES (INTERESTED PERSONS) OF THE ORGANIZATION HAVE A DUTY TO AVOID CONFLICTS OF INTEREST, BOTH REAL AND PERCEIVED, WHICH MAY NEGATIVELY IMPACT THE ORGANIZATION OR THOSE IT SERVES. THE ORGANIZATION'S INTERESTED PERSONS ARE TO BE GUIDED BY THE ORGANIZATION'S MISSION, VISION AND VALUES, AND TO SERVE PATIENTS, FAMILIES, AND THE GENERAL PUBLIC WITHOUT NEED FOR ANY PERSONAL FAVOR OR GAIN. THE ORGANIZATION'S ETHICS AND COMPLIANCE PLAN EMPHASIZES THE DUTY INTERESTED PERSONS HAVE TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT MAY BENEFIT THEIR PRIVATE INTERESTS OR RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CONFLICTS ARE DISCLOSED ANNUALLY ON A CONFLICT OF INTEREST QUESTIONNAIRE THAT IS DISTRIBUTED TO THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. IN THE EVENT OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, INTERESTED PERSONS MUST DISCLOSE THE EXISTENCE OF THEIR FINANCIAL INTEREST AND DISCLOSE ALL MATERIAL FACTS TO THE BOARD CHAIR, CEO, OR OTHER DESIGNATED PERSONS. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS BETWEEN THE ORGANIZATION AND AN INTERESTED PERSON, THE PARTY WITH A CONFLICT OF INTEREST BUT ABSTAIN FROM ANY DISCUSSION OR VOTING ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. AT EACH BOARD MEETING, BOARD MEMBERS ARE REMINDED THAT THEY HAVE SIGNED A CONFLICT OF INTEREST DISCLOSURE AND ARE ASKED TO REVIEW THE AGENDA. AT THAT TIME, FOR THE RECORD, THEY ARE TO DISCLOSE ANY ITEMS WITH WHICH THEY MAY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS THE PRESIDENT AND CEO OF EMPATH HEALTH, INC. (EHI), A RELATED ORGANIZATION. THE CEO'S COMPENSATION IS DETERMINED BY AND PAID FOR BY EHI. THE EXECUTIVE COMMITTEE OF THE EHI BOARD MEETS ANNUALLY TO REVIEW AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE'S REVIEW OF CEO COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS IS ALSO DETERMINED BY EHI. THE COMPENSATION OF OTHER OFFICERS IS REVIEWED ON AN ANNUAL BASIS BY THE CEO OF EHI. AFTER REVIEWING OFFICER COMPENSATION, THE CEO'S RECOMMENDATIONS ARE THEN APPROVED BY EHI'S BOARD OF DIRECTORS. THESE REVIEWS ARE DOCUMENTED IN EACH EMPLOYEE'S FILE. THE REVIEW OF OTHER OFFICERS' COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. EXTERNAL COMPENSATION REVIEWS ARE PERFORMED ACCORDING TO THE FOLLOWING PROCESS: EVERY 3-5 YEARS HUMAN RESOURCES WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI. THE REVIEW WILL INCLUDE A NATIONAL COMPARISON OF SIMILAR JOBS AT SIMILARLY SITUATED COMPANIES IN ORDER TO MAKE CERTAIN THAT THESE KEY EMPLOYEES ARE PAID WITHIN A REASONABLE AND APPROPRIATE RANGE. THE RESULTING RECOMMENDATIONS WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE TO RECOMMEND ANY MARKET-BASED CHANGES OR TO ENSURE THAT THE CURRENT COMPENSATION OF THESE INDIVIDUALS ARE CORRECT. DURING THIS REVIEW, HUMAN RESOURCES WILL ALSO GIVE THE EXECUTIVE COMMITTEE A BROAD OVERVIEW OF THE STRUCTURE OF THE FULL ORGANIZATION'S COMPENSATION SYSTEM, INCLUDING THE PHILOSOPHY AND SYSTEMS SET IN PLACE TO MANAGE IT. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO IRC SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 32,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,629. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 693,943. MANAGEMENT AND GENERAL EXPENSES 218,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912,357. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 659,024. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 659,024. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 18,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,284. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 22,471. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,471. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 10,570. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,570. LAB & DIAGNOSTICS: PROGRAM SERVICE EXPENSES 62,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,665. IMAGING: PROGRAM SERVICE EXPENSES 50,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,495. INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 2,075,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,075,664. OUTPATIENT SERVICES: PROGRAM SERVICE EXPENSES 782,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 782,311. GOVERNMENT AUDIT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,034,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,034,006. MEDICAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 1,507,219. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,507,219. PATIENT CARE: PROGRAM SERVICE EXPENSES 17,680,270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,680,270. FORM 990, PART XI, LINE 9: DEBT FORGIVENESS -1,880,286. CHANGE IN ASSETS -26,000. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -32,799. BAD DEBT RESERVE 961,000. FORM 990, PART XII, LINE 2C: OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: THERE ARE NO CHANGES FROM THE PREVIOUS YEAR. EMPATH HEALTH INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 263605761 HOLDING COMPANY FL 501(C)(3) LINE 12B, II N/A 0 AIDS SERVICE ASSOCIATION OF PINELLAS INC DBA EMPATH PARTNERS IN CARE 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 592862537 AIDS PREVENTION FL 501(C)(3) LINE 7 EMPATH HEALTH INC 1 THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 593176721 EDUCATION FL 501(C)(3) LINE 7 EMPATH HEALTH INC 1 THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 592252045 FUNDRAISING FL 501(C)(3) LINE 7 EMPATH HEALTH INC 1 SUNCOAST PACE INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 452980257 PACE PROGRAM FL 501(C)(3) LINE 10 EMPATH HEALTH INC 1 HOSPICE SYSTEMS INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 593502780 INACTIVE FL C 0 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0